Claims Assistant I
Claims Assistant I
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1 Vacancy
Job Description
Job Title: Claims Assistant I
FLSA Status: Exempt
Department: Claims Management
Reports To: Director of Claims Administration
Position Overview:
As a Claims Assistant I for a ThirdParty Administrator (TPA) you will provide administrative and clerical support to the claims department. This role involves assisting in the processing evaluation and documentation of insurance claims ensuring that claims are handled efficiently and in compliance with relevant policies. You will work closely with claims adjusters managers clients and claimants to ensure that claims are processed accurately and timely.
Job Responsibilities:
- Assist with intake and processing claims including gathering and reviewing documentation.
- Input and update claims data into the claims management system.
- Organize and maintain claims files
- Communicate with policyholders claimants and other stakeholders
- Answer inquiries provide explanation of claim processes assist in resolving issues.
- Generate claims reports for client and management review.
- Maintain claims files to ensure documents are stored in accordance with company policies.
- Provide general administrative support to the claims team.
- Annual 16 hours approved education
Education and Work Experience:
- Associate degree or equivalent experience in insurance or claims preferred.
- Experience in insurance claims processing or a related field with customer service is preferred.
- Experience with claims management software or other industryspecific tools is preferred.
Knowledge Skills and Abilities:
- Detailoriented with the ability to effectively handle multiple tasks.
- Excellent written and verbal communication skills.
- Proficient in Microsoft Office Suite (Word Excel Outlook).
- Strong organizational and timemanagement skills in a fastpaced environment.
- Ability to analyze situations identify issues and provide solutions when necessary.
Typical Physical Demands:
- Requires the ability to sit or stand for long periods of time occasional stooping and reaching; May require liftingup to 25 pounds; requires normal range of vision and hearing with or without accommodations.
Employee Signature: Date:
NOTE: This job description is not intended to be allinclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
Employment Type
Full Time
